Magnetic resonance imaging interference immune device

ABSTRACT

A voltage compensation unit reduces the effects of induced voltages upon a device having a single wire line. The single wire line has balanced characteristic impedance. The voltage compensation unit includes a tunable compensation circuit connected to the wire line. The tunable compensation circuit applies supplemental impedance to the wire line. The supplemental impedance causes the characteristic impedance of the wire line to become unbalanced, thereby reducing the effects of induced voltages caused by changing magnetic fields.

PRIORITY INFORMATION

This application is a divisional of U.S. patent application Ser. No. 10/887,533, filed on Jul. 8, 2004, wherein co-pending U.S. patent application Ser. No. 10/887,533 is a continuation-in-part of U.S. patent application Ser. No. 10/780,261, filed on Feb. 17, 2004 (now U.S. Pat. No. 6,949,929). The present application claims priority, under 35 U.S.C. §120, from co-pending U.S. patent application Ser. No. 10/887,533, filed on Jul. 8, 2004 and from U.S. patent application Ser. No. 10/780,261, filed on Feb. 17, 2004 (now U.S. Pat. No. 6,949,929). U.S. patent application Ser. No. 10/780,261, filed on Feb. 17, 2004 claimed priority, under 35 U.S.C. §119(e), from U.S. Provisional Patent Application Ser. No. 60/482,177, filed on Jun. 24, 2003. The present application claims priority, under 35 U.S.C. §119(e), from U.S. Provisional Patent Application Ser. No. 60/482,177, filed on Jun. 24, 2003. The entire contents of U.S. Provisional Patent Application Ser. No. 60/482,177, filed on Jun. 24, 2003; U.S. patent application Ser. No. 10/887,533, filed on Jul. 8, 2004; and U.S. patent application Ser. No. 10/780,261, filed on Feb. 17, 2004, (now U.S. Pat. No. 6,949,929) are hereby incorporated by reference.

BACKGROUND

Magnetic resonance imaging has been developed as an imaging technique adapted to obtain both images of anatomical features of human patients as well as some aspects of the functional activities and characteristics of biological tissue. These images have medical diagnostic value in determining the state of the health of the tissue examined. Unlike the situation with fluoroscopic imaging, a patient undergoing magnetic resonance imaging procedure may remain in the active imaging system for a significant amount of time, e.g. a half-hour or more, without suffering any adverse effects.

In a magnetic-resonance imaging process, a patient is typically aligned to place the portion of the patient's anatomy to be examined in the imaging volume of the magnetic-resonance imaging apparatus. Such an magnetic-resonance imaging apparatus typically comprises a primary electromagnet for supplying a constant magnetic field (B₀) which, by convention, is along the z-axis and is substantially homogeneous over the imaging volume and secondary electromagnets that can provide linear magnetic field gradients along each of three principal Cartesian axes in space (generally x, y, and z, or x₁, x₂ and x₃, respectively). The magnetic-resonance imaging apparatus also comprises one or more RF (radio frequency) coils that provide excitation and detection of the magnetic-resonance imaging induced signals in the patient's body.

The gradient fields are switched ON and OFF at different rates depending on the magnetic-resonance imaging scan sequence used. In some cases, this may result in a changing magnetic field on the order of dB/dt=50 T/s. The frequency that a gradient field may be turned ON can be between 200 Hz to about 300 kHz.

For a single loop with a fixed area, Lenz's law can be stated as: EMF=−A@dB/dt where A is the area vector, B is the magnetic field vector, and “@” is the vector scalar product. This equation indicates that an electro-motive-force (EMF) is developed in any loop that encircles a changing magnetic field.

In a magnetic-resonance imaging system, there is applied to the biological sample (patient) a switched gradient field in all 3 coordinate directions (x-, y-, z-directions). If the patient has an implanted heart pacemaker (or other implanted devices having conductive components) the switched gradient magnetic fields (an alternating magnetic field) may cause:

-   -   1. Erroneous signals to be induced/generated in a sensing lead         or device or circuit;     -   2. Damage to electronics; and/or     -   3. Harmful stimulation of tissue, e.g. heart muscle, nerves,         etc.

As noted above, the use of the magnetic-resonance imaging process with patients who have implanted medical assist devices; such as cardiac assist devices or implanted insulin pumps; often presents problems. As is known to those skilled in the art, implantable devices (such as implantable pulse generators (IPGs) and cardioverter/defibrillator/pacemakers (CDPs)) are sensitive to a variety of forms of electromagnetic interference (EMI) because these enumerated devices include sensing and logic systems that respond to low-level electrical signals emanating from the monitored tissue region of the patient. Since the sensing systems and conductive elements of these implantable devices are responsive to changes in local electromagnetic fields, the implanted devices are vulnerable to external sources of severe electromagnetic noise, and in particular, to electromagnetic fields emitted during the magnetic resonance imaging (magnetic-resonance imaging) procedure. Thus, patients with implantable devices are generally advised not to undergo magnetic resonance imaging (magnetic-resonance imaging) procedures.

To more appreciate the problem, the use of implantable cardiac assist devices during a magnetic-resonance imaging process will be briefly discussed.

The human heart may suffer from two classes of rhythmic disorders or arrhythmias: bradycardia and tachyarrhythmia. Bradycardia occurs when the heart beats too slowly, and may be treated by a common implantable pacemaker delivering low voltage (about 3 Volts) pacing pulses.

The common implantable pacemaker is usually contained within a hermetically sealed enclosure, in order to protect the operational components of the device from the harsh environment of the body, as well as to protect the body from the device.

The common implantable pacemaker operates in conjunction with one or more electrically conductive leads, adapted to conduct electrical stimulating pulses to sites within the patient's heart, and to communicate sensed signals from those sites back to the implanted device.

Furthermore, the common implantable pacemaker typically has a metal case and a connector block mounted to the metal case that includes receptacles for leads which may be used for electrical stimulation or which may be used for sensing of physiological signals. The battery and the circuitry associated with the common implantable pacemaker are hermetically sealed within the case. Electrical interfaces are employed to connect the leads outside the metal case with the medical device circuitry and the battery inside the metal case.

Electrical interfaces serve the purpose of providing an electrical circuit path extending from the interior of a hermetically sealed metal case to an external point outside the case while maintaining the hermetic seal of the case. A conductive path is provided through the interface by a conductive pin that is electrically insulated from the case itself.

Such interfaces typically include a ferrule that permits attachment of the interface to the case, the conductive pin, and a hermetic glass or ceramic seal that supports the pin within the ferrule and isolates the pin from the metal case.

A common implantable pacemaker can, under some circumstances, be susceptible to electrical interference such that the desired functionality of the pacemaker is impaired. For example, common implantable pacemaker requires protection against electrical interference from electromagnetic interference (EMI), defibrillation pulses, electrostatic discharge, or other generally large voltages or currents generated by other devices external to the medical device. As noted above, more recently, it has become crucial that cardiac assist systems be protected from magnetic-resonance imaging sources.

Such electrical interference can damage the circuitry of the cardiac assist systems or cause interference in the proper operation or functionality of the cardiac assist systems. For example, damage may occur due to high voltages or excessive currents introduced into the cardiac assist system.

Moreover, problems are realized when the placement of the implant is next to particular organs. For example, when a pacemaker is placed in the upper chest and the lead tip is placed into the heart, a loop (an electrical loop) is created. A changing magnetic field (the switched gradient field) over the area of the loop (through the area of the loop) will cause an induced voltage (and current) across the heart. This induced voltage (current) can stimulate the heart inappropriately and can cause heart damage or death.

Therefore, it is desirable to provide a medical device or system that reduces or eliminates the undesirable effects of changing magnetic fields from a magnetic-resonance imaging system on the medical devices and/or patients undergoing medical procedures or that have temporary or permanent implanted materials and/or devices with conducting components.

A voltage compensation unit reduces the effects of induced voltages upon a device to a safe level. The voltage compensation unit includes a sensing circuit to sense voltages induced in conductive components of the device, the voltages being induced by changing magnetic fields and a compensation circuit, operatively connected to the sensing circuit and responsive thereto, to provide opposing voltages to the device to reduce the effects of induced voltages caused by changing magnetic fields.

A voltage compensation unit reduces the effects of induced voltages upon a tissue invasive medical tool to a safe level. The voltage compensation unit includes a sensing circuit to sense voltages induced in conductive components of the medical tool, the voltages being induced by changing magnetic fields; a compensation circuit, operatively connected to the sensing circuit and responsive thereto, to provide opposing voltages to the medical tool to reduce the effects of induced voltages caused by changing magnetic fields; and a connection device to provide an electrical connection between the sensing circuit and the compensation circuit and the medical tool.

A voltage compensation unit reduces the effects of induced voltages upon a device to a safe level. The voltage compensation unit includes a communication circuit, communicatively linked to a magnetic-resonance imaging system, to receive information associated with a start and end of an application of changing magnetic fields produced by the magnetic-resonance imaging system and a compensation circuit, operatively connected to the communication circuit and responsive thereto, to synchronize application of opposing voltages to the device with the sensed changing magnetic fields, the opposing voltages reducing the effects of induced voltages caused by the changing magnetic fields.

A voltage compensation unit reduces the effects of induced voltages upon a device to a safe level. The voltage compensation unit includes a communication circuit, communicatively linked to a magnetic-resonance imaging system, to receive information associated with a start and end of an application of changing magnetic fields produced by the magnetic-resonance imaging system and a compensation circuit, operatively connected to the communication circuit and responsive thereto, to apply opposing voltages to the device, the opposing voltages reducing the effects of induced voltages caused by the changing magnetic fields.

A voltage compensation unit reduces the effects of induced voltages upon a device having a single wire line, the single wire line having a balanced characteristic impedance. The voltage compensation unit includes a tunable compensation circuit, operatively connected to the wire line, to apply supplemental impedance to the wire line, the supplemental impedance causing the characteristic impedance of the wire line to become unbalanced, thereby reducing the effects of induced voltages caused by changing magnetic fields.

An electrical lead component for a medical device reduces the effects of magnetic-resonance imaging induced signals. The electrical lead component includes a medical device electrical lead capable of providing an electrical path to a desired tissue region and a coil that generates a voltage due to a changing magnetic-resonance imaging electromagnetic field opposite to that which would be induced by the changing magnetic-resonance imaging electromagnetic field in the medical device electrical lead so as to reduce voltages induced by the changing magnetic-resonance imaging electromagnetic field.

An electrical lead component for a medical device reduces the effects of magnetic-resonance imaging induced signals. The electrical lead component includes a medical device electrical lead capable of providing an electrical path to a desired tissue region and a plurality of coils, each coil generating a voltage due to a changing magnetic-resonance imaging electromagnetic field such that a combination of voltages due to a changing magnetic-resonance imaging electromagnetic field provides a combined voltage that is opposite to the voltage which would be induced by the changing magnetic-resonance imaging electromagnetic field in the medical device electrical lead so as to reduce voltages induced by the changing magnetic-resonance imaging electromagnetic field.

An electrical lead component for a medical device reduces the effects of magnetic-resonance imaging induced signals. The electrical lead component includes a medical device electrical lead capable of providing an electrical path to a desired tissue region and three orthogonally planar coils, each coil generating a voltage due to a changing magnetic-resonance imaging electromagnetic field such that a combination of voltages due to a changing magnetic-resonance imaging electromagnetic field provides a combined voltage that is opposite to the voltage which would be induced by the changing magnetic-resonance imaging electromagnetic field in the medical device electrical lead so as to reduce voltages induced by the changing magnetic-resonance imaging electromagnetic field.

An electrical lead component for a medical device reduces the effects of magnetic-resonance imaging induced signals. The electrical lead component includes a medical device electrical lead capable of providing an electrical path to a desired tissue region; a plurality of coils, each coil generating a voltage due to a changing magnetic-resonance imaging electromagnetic field; a sensor to measure a strength of voltages induced by the changing magnetic-resonance imaging electromagnetic field; and a switching device, operatively connected to the sensor and plurality of coils, to operatively connect a number of the plurality of coils in response to the measured strength of voltages induced by the changing magnetic-resonance imaging electromagnetic field such that a combination of voltages due to a changing magnetic-resonance imaging electromagnetic field provides a combined voltage that is opposite to the voltage which would be induced by the changing magnetic-resonance imaging electromagnetic field in the medical device electrical lead so as to reduce voltages induced by the changing magnetic-resonance imaging electromagnetic field.

An electrical lead component for a medical device reduces the effects of magnetic-resonance imaging induced signals. The electrical lead component includes a medical device electrical lead capable of providing an electrical path to a desired tissue region; three orthogonally planar coils, each coil generating a voltage due to a changing magnetic-resonance imaging electromagnetic field; a sensor to measure a strength of voltages induced by the changing magnetic-resonance imaging electromagnetic field; and a switching device, operatively connected to the sensor and the coils, to operatively connect a number of the coils in response to the measured strength of voltages induced by the changing magnetic-resonance imaging electromagnetic field such that a combination of voltages due to a changing magnetic-resonance imaging electromagnetic field provides a combined voltage that is opposite to the voltage which would be induced by the changing magnetic-resonance imaging electromagnetic field in the medical device electrical lead so as to reduce voltages induced by the changing magnetic-resonance imaging electromagnetic field.

An electrical lead component for a medical device reduces the effects of magnetic-resonance imaging induced signals. The electrical lead component includes a medical device electrical lead capable of providing an electrical path to a desired tissue region; a plurality of coils, each coil generating a voltage due to a changing magnetic-resonance imaging electromagnetic field; a transceiver to receive a signal indicating a number of coils to be connected; and a switching device, operatively connected to the transceiver and plurality of coils, to operatively connect a number of the plurality of coils in response to the received signal indicating the number of coils to be connected such that a combination of voltages due to a changing magnetic-resonance imaging electromagnetic field provides a combined voltage that is opposite to the voltage which would be induced by the changing magnetic-resonance imaging electromagnetic field in the medical device electrical lead so as to reduce voltages induced by the changing magnetic-resonance imaging electromagnetic field.

An electrical lead component for a medical device reduces the effects of magnetic-resonance imaging induced signals. The electrical lead component includes a medical device electrical lead capable of providing an electrical path to a desired tissue region; three orthogonally planar coils, each coil generating a voltage due to a changing magnetic-resonance imaging electromagnetic field; a transceiver to receive a signal indicating a number of coils to be connected; and a switching device, operatively connected to the transceiver and the coils, to operatively connect a number of the coils in response to the received signal indicating the number of coils to be connected such that a combination of voltages due to a changing magnetic-resonance imaging electromagnetic field provides a combined voltage that is opposite to the voltage which would be induced by the changing magnetic-resonance imaging electromagnetic field in the medical device electrical lead so as to reduce voltages induced by the changing magnetic-resonance imaging electromagnetic field.

A device for a medical device reduces the effects of magnetic-resonance imaging induced signals. The medical device includes a medical device capable of providing medical treatment to a desired tissue region and a coil that generates a voltage induced by a changing magnetic-resonance imaging electromagnetic field opposite to a voltage which would be induced by the changing magnetic-resonance imaging electromagnetic field in the medical device so as to reduce voltages induced by the changing magnetic-resonance imaging electromagnetic field.

A device for a medical device reduces the effects of magnetic-resonance imaging induced signals. The medical device includes a medical device capable of providing medical treatment to a desired tissue region and a plurality of coils, each coil generating a voltage due to a changing magnetic-resonance imaging electromagnetic field such that a combination of voltages due to a changing magnetic-resonance imaging electromagnetic field provides a combined voltage that is opposite to the voltage which would be induced by the changing magnetic-resonance imaging electromagnetic field in the medical device so as to reduce voltages induced by the changing magnetic-resonance imaging electromagnetic field.

A device for a medical device reduces the effects of magnetic-resonance imaging induced signals. The medical device includes a medical device capable of providing medical treatment to a desired tissue region and three orthogonally planar coils, each coil generating a voltage due to a changing magnetic-resonance imaging electromagnetic field such that a combination of voltages due to a changing magnetic-resonance imaging electromagnetic field provides a combined voltage that is opposite to the voltage which would be induced by the changing magnetic-resonance imaging electromagnetic field in the medical device so as to reduce voltages induced by the changing magnetic-resonance imaging electromagnetic field.

A device for a medical device reduces the effects of magnetic-resonance imaging induced signals. The medical device includes a medical device capable of providing medical treatment to a desired tissue region; a plurality of coils, each coil generating a voltage due to a changing magnetic-resonance imaging electromagnetic field; a sensor to measure a strength of voltages induced by the changing magnetic-resonance imaging electromagnetic field; and a switching device, operatively connected to the sensor and plurality of coils, to operatively connect a number of the plurality of coils in response to the measured strength of voltages induced by the changing magnetic-resonance imaging electromagnetic field such that a combination of voltages due to a changing magnetic-resonance imaging electromagnetic field provides a combined voltage that is opposite to the voltage which would be induced by the changing magnetic-resonance imaging electromagnetic field in the medical device so as to reduce voltages induced by the changing magnetic-resonance imaging electromagnetic field.

A device for a medical device reduces the effects of magnetic-resonance imaging induced signals. The medical device includes a medical device capable of providing medical treatment to a desired tissue region; three orthogonally planar coil, each coil generating a voltage due to a changing magnetic-resonance imaging electromagnetic field; a sensor to measure a strength of voltages induced by the changing magnetic-resonance imaging electromagnetic field; and a switching device, operatively connected to the sensor and plurality of coils, to operatively connect a number of the plurality of coils in response to the measured strength of voltages induced by changing magnetic-resonance imaging electromagnetic field such that a combination of voltages due to a changing magnetic-resonance imaging electromagnetic field provides a combined voltage that is opposite to the voltage which would be induced by the changing magnetic-resonance imaging electromagnetic field in the medical device so as to reduce voltages induced by the changing magnetic-resonance imaging electromagnetic field.

A device for a medical device reduces the effects of magnetic-resonance imaging induced signals. The medical device includes a medical device capable of providing medical treatment to a desired tissue region; a plurality of coils, each coil generating a voltage due to a changing magnetic-resonance imaging electromagnetic field; a transceiver to receive a signal indicating a number of coils to be connected; and a switching device, operatively connected to the transceiver and the coils, to operatively connect a number of the coils in response to the received signal indicating the number of coils to be connected such that a combination of voltages due to a changing magnetic-resonance imaging electromagnetic field provides a combined voltage that is opposite to the voltage which would be induced by the changing magnetic-resonance imaging electromagnetic field in the medical device so as to reduce voltages induced by the changing magnetic-resonance imaging electromagnetic field.

A device for a medical device reduces the effects of magnetic-resonance imaging induced signals. The medical device includes a medical device capable of providing medical treatment to a desired tissue region; three orthogonally planar coil, each coil generating a voltage due to a changing magnetic-resonance imaging electromagnetic field; a transceiver to receive a signal indicating a number of coils to be connected; and a switching device, operatively connected to the transceiver and the coils, to operatively connect a number of the coils in response to the received signal indicating the number of coils to be connected such that a combination of voltages due to a changing magnetic-resonance imaging electromagnetic field provides a combined voltage that is opposite to the voltage which would be induced by the changing magnetic-resonance imaging electromagnetic field in the medical device so as to reduce voltages induced by the changing magnetic-resonance imaging electromagnetic field.

An electrical lead component for a medical device reduces the effects of magnetic-resonance imaging induced signals. The electrical lead component includes a medical device electrical lead capable of providing an electrical path to a desired tissue region; a voltage source; a sensor to sense voltages induced by the changing magnetic-resonance imaging electromagnetic field; and a switching device, operatively connected to the sensor and voltage source, to operatively connect the voltage source to the medical device electrical lead in response to the sensed voltage induced by the changing magnetic-resonance imaging electromagnetic field such that the voltage source provides a voltage that is opposite to the voltage which would be induced by the changing magnetic-resonance imaging electromagnetic field in the medical device electrical lead so as to reduce voltages induced by the changing magnetic-resonance imaging electromagnetic field.

A device for a medical device reduces the effects of magnetic-resonance imaging induced signals. The medical device includes a medical device capable of providing medical treatment to a desired tissue region; a voltage source; a sensor to sense voltages induced by the changing magnetic-resonance imaging electromagnetic field; and a switching device, operatively connected to the sensor and voltage source, to operatively connect the voltage source to the medical device in response to the sensed voltage induced by the changing magnetic-resonance imaging electromagnetic field such that the voltage source provides a voltage that is opposite to the voltage which would be induced by the changing magnetic-resonance imaging electromagnetic field in the medical device so as to reduce voltages induced by the changing magnetic-resonance imaging electromagnetic field.

A lead for medical applications reduces the effects of magnetic-resonance imaging induced signals. The lead includes two coiled conductive strands forming a spring-like configuration such that current flows over a surface thereof, through contact points between adjacent loops of the coiled conductive strands and an insulating coating formed over a portion of the two coiled conductive strands such that an inline inductive element is formed, the current flowing along a curvature of the two coiled conductive strands in the insulating coated portion of the two coiled conductive strands.

A lead for medical applications reduces the effects of magnetic-resonance imaging induced signals. The lead includes two coiled conductive strands forming a spring-like configuration such that current flows over a surface thereof, through contact points between adjacent loops of the coiled conductive strands and an adjustable resistive material formed over a portion of the two coiled conductive strands such that an inline inductive element is formed, the current flowing along a curvature of the two coiled conductive strands in the adjustable resistive material portion of the two coiled conductive strands.

A lead for medical applications reduces the effects of magnetic-resonance imaging induced signals. The lead includes a coiled conductive strand forming a spring-like configuration such that current flows over a surface thereof, through contact points between adjacent loops of the coiled conductive strand and an insulating coating formed over a portion of the coiled conductive strand such that an inline inductive element is formed, the current flowing along a curvature of the coiled conductive strand in the insulating coated portion of the coiled conductive strand.

A lead for medical applications reduces the effects of magnetic-resonance imaging induced signals. The lead includes a coiled conductive strand forming a spring-like configuration such that current flows over a surface thereof, through contact points between adjacent loops of the coiled conductive strand and an adjustable resistive material formed over a portion of the coiled conductive strand such that an inline inductive element is formed, the current flowing along a curvature of the coiled conductive strand in the adjustable resistive material portion of the coiled conductive strand.

A lead for medical applications reduces the effects of magnetic-resonance imaging induced signals. The lead includes two coiled conductive strands forming a spring-like configuration such that current flows over a surface thereof, through contact points between adjacent loops of the coiled conductive strands; a first insulating coating formed over a first portion of the two coiled conductive strands such that a first inline inductive element having a first inductance is formed, the current flowing along a curvature of the two coiled conductive strands in the first insulating coated portion of two coiled conductive strands; and a second insulating coating formed over a second portion of the two coiled conductive strands such that a second inline inductive element having a second inductance is formed, the current flowing along a curvature of the two coiled conductive strands in the second insulating coated portion of two coiled conductive strands. The first inductance is different from the second inductance.

A lead for medical applications reduces the effects of magnetic-resonance imaging induced signals. The lead includes two coiled conductive strands forming a spring-like configuration such that current flows over a surface thereof, through contact points between adjacent loops of the coiled conductive strands; a first adjustable resistive material formed over a first portion of the two coiled conductive strands such that a first inline inductive element having a first inductance is formed, the current flowing along a curvature of the two coiled conductive strands in the first adjustable resistive material portion of the two coiled conductive strands; and a second adjustable resistive material formed over a second portion of the two coiled conductive strands such that a second inline inductive element having a second inductance is formed, the current flowing along a curvature of the two coiled conductive strands in the second adjustable resistive material portion of the two coiled conductive strands. The first inductance is different from the second inductance.

A lead for medical applications reduces the effects of magnetic-resonance imaging induced signals. The lead includes a coiled conductive strand forming a spring-like configuration such that current flows over a surface thereof, through contact points between adjacent loops of the coiled conductive strand; a first insulating coating formed over a first portion of the coiled conductive strand such that a first inline inductive element having a first inductance is formed, the current flowing along a curvature of the coiled conductive strand in the first insulating coated portion of the coiled conductive strand; and a second insulating coating formed over a second portion of the coiled conductive strand such that a second inline inductive element having a second inductance is formed, the current flowing along a curvature of the coiled conductive strand in the second insulating coated portion of the coiled conductive strand. The first inductance is different from the second inductance.

A lead for medical applications reduces the effects of magnetic-resonance imaging induced signals. The lead includes a coiled conductive strand forming a spring-like configuration such that current flows over a surface thereof, through contact points between adjacent loops of the coiled conductive strand; a first adjustable resistive material formed over a first portion of the coiled conductive strand such that a first inline inductive element having a first inductance is formed, the current flowing along a curvature of the coiled conductive strand in the first adjustable resistive material portion of the coiled conductive strand; and a second adjustable resistive material formed over a second portion of the coiled conductive strand such that a second inline inductive element having a second inductance is formed, the current flowing along a curvature of the coiled conductive strand in the second adjustable resistive material portion of the coiled conductive strand. The first inductance is different from the second inductance.

An electrical lead is capable of providing an electrical path to a desired tissue region, including a coil that generates a voltage due to a changing magnetic-resonance imaging electromagnetic field opposite to that which would be induced by the changing magnetic-resonance imaging electromagnetic field in the electrical lead without the coil so as to reduce voltages induced by the changing magnetic-resonance imaging electromagnetic field.

An electrical lead is capable of providing an electrical path to a desired tissue region, including a plurality of coils, at least one coil generating a voltage due to a changing magnetic-resonance imaging electromagnetic field such that a combination of voltages due to a changing magnetic-resonance imaging electromagnetic field provides a combined voltage that is opposite to the voltage which would be induced by the changing magnetic-resonance imaging electromagnetic field in the electrical lead without the plurality of coils so as to reduce voltages induced by the changing magnetic-resonance imaging electromagnetic field.

An electrical lead is capable of providing an electrical path to a desired tissue region, including planar coils, at least one coil generating a voltage due to a changing magnetic-resonance imaging electromagnetic field such that a combination of voltages due to a changing magnetic-resonance imaging electromagnetic field provides a combined voltage that is opposite to the voltage which would be induced by the changing magnetic-resonance imaging electromagnetic field in the electrical lead without the planar coils so as to reduce voltages induced by the changing magnetic-resonance imaging electromagnetic field.

An electrical lead is capable of providing an electrical path to a desired tissue region, including a plurality of coils, at least one coil generating a voltage due to a changing magnetic-resonance imaging electromagnetic field; a sensor to measure a strength of voltages induced by the changing magnetic-resonance imaging electromagnetic field; and a switching device, operatively connected to the sensor and plurality of coils, to operatively connect a number of the plurality of coils in response to the measured strength of voltages induced by the changing magnetic-resonance imaging electromagnetic field such that a combination of voltages due to a changing magnetic-resonance imaging electromagnetic field provides a combined voltage that is opposite to the voltage which would be induced by the changing magnetic-resonance imaging electromagnetic field in the electrical lead without the coils so as to reduce voltages induced by the changing magnetic-resonance imaging electromagnetic field.

An electrical lead is capable of providing an electrical path to a desired tissue region, including planar coils, at least one coil generating a voltage due to a changing magnetic-resonance imaging electromagnetic field; a sensor to measure a strength of voltages induced by the changing magnetic-resonance imaging electromagnetic field; and a switching device, operatively connected to the sensor and the coils, to operatively connect a number of the coils in response to the measured strength of voltages induced by the changing magnetic-resonance imaging electromagnetic field such that a combination of voltages due to a changing magnetic-resonance imaging electromagnetic field provides a combined voltage that is opposite to the voltage which would be induced by the changing magnetic-resonance imaging electromagnetic field in the electrical lead without the planar coils so as to reduce voltages induced by the changing magnetic-resonance imaging electromagnetic field.

An electrical lead is capable of providing an electrical path to a desired tissue region, including a plurality of coils, at least one coil generating a voltage due to a changing magnetic-resonance imaging electromagnetic field; a transceiver to receive a signal indicating a number of coils to be connected; and a switching device, operatively connected to the transceiver and plurality of coils, to operatively connect a number of the plurality of coils in response to the received signal indicating the number of coils to be connected such that a combination of voltages due to a changing magnetic-resonance imaging electromagnetic field provides a combined voltage that is opposite to the voltage which would be induced by the changing magnetic-resonance imaging electromagnetic field in the electrical lead without the coils so as to reduce voltages induced by the changing magnetic-resonance imaging electromagnetic field.

An electrical lead is capable of providing an electrical path to a desired tissue region, including planar coils, at least one coil generating a voltage due to a changing magnetic-resonance imaging electromagnetic field; a transceiver to receive a signal indicating a number of coils to be connected; and a switching device, operatively connected to the transceiver and the coils, to operatively connect a number of the coils in response to the received signal indicating the number of coils to be connected such that a combination of voltages due to a changing magnetic-resonance imaging electromagnetic field provides a combined voltage that is opposite to the voltage which would be induced by the changing magnetic-resonance imaging electromagnetic field in the medical device electrical lead without the planar coils so as to reduce voltages induced by the changing magnetic-resonance imaging electromagnetic field.

An electrical lead includes an electrical strand to provide an electrical path between a tissue region and a medical device and a RF choke, operatively connected to the electrical strand, to significantly reduce currents induced by a changing MRI electromagnetic field in the electrical strand. The RF choke allows a signal corresponding to a measured characteristic of the tissue region to pass therethrough.

An electrical lead includes an electrical strand to provide an electrical path between a tissue region and a medical device and a RF filter, operatively connected to the electrical strand, to significantly reduce currents induced by a changing MRI electromagnetic field in the electrical strand. The RF filter allows a signal corresponding to a measured characteristic of the tissue region to pass therethrough.

An electrical lead includes an electrical strand to provide an electrical path between a tissue region and a medical device and a notch filter, operatively connected to the electrical strand, to significantly reduce currents induced by a changing MRI electromagnetic field in the electrical strand. The notch filter allows a signal corresponding to a measured characteristic of the tissue region to pass therethrough.

An electrical lead includes an electrical strand to provide an electrical path between a tissue region and a medical device and a bandpass filter, operatively connected to the electrical strand, to significantly reduce currents induced by a changing MRI electromagnetic field in the electrical strand. The bandpass filter allows a signal corresponding to a measured characteristic of the tissue region to pass therethrough.

An electrical lead includes an electrical strand to provide an electrical path between a tissue region and a medical device and an inductor, operatively connected to the electrical strand, to significantly reduce currents induced by a changing MRI electromagnetic field in the electrical strand. The inductor allows a signal corresponding to a measured characteristic of the tissue region to pass therethrough.

An electrical lead includes an electrical strand to provide an electrical path between a tissue region and a medical device and a RF choke, operatively connected to the electrical strand, to significantly reduce currents induced by a changing MRI electromagnetic field in the electrical strand. The RF choke allows a therapeutic signal to pass therethrough.

An electrical lead includes an electrical strand to provide an electrical path between a tissue region and a medical device and a RF filter, operatively connected to the electrical strand, to significantly reduce currents induced by a changing MRI electromagnetic field in the electrical strand. The RF filter allows a therapeutic signal to pass therethrough.

An electrical lead includes an electrical strand to provide an electrical path between a tissue region and a medical device and a notch filter, operatively connected to the electrical strand, to significantly reduce currents induced by a changing MRI electromagnetic field in the electrical strand. The notch filter allows a therapeutic signal to pass therethrough.

An electrical lead includes an electrical strand to provide an electrical path between a tissue region and a medical device and a bandpass filter, operatively connected to the electrical strand, to significantly reduce currents induced by a changing MRI electromagnetic field in the electrical strand. The bandpass filter allows a therapeutic signal to pass therethrough.

An electrical lead includes an electrical strand to provide an electrical path between a tissue region and a medical device and an inductor, operatively connected to the electrical strand, to significantly reduce currents induced by a changing MRI electromagnetic field in the electrical strand. The inductor allows a therapeutic signal to pass therethrough.

An electrical lead includes an electrical strand to provide an electrical path between a tissue region and a medical device and a tank circuit, operatively connected to the electrical strand, to significantly reduce currents induced by a changing MRI electromagnetic field in the electrical strand. The tank circuit allows a signal corresponding to a measured characteristic of the tissue region to pass therethrough.

An electrical lead includes an electrical strand to provide an electrical path between a tissue region and a medical device and a tank circuit, operatively connected to the electrical strand, to significantly reduce currents induced by a changing MRI electromagnetic field in the electrical strand. The tank circuit allows a therapeutic signal to pass therethrough.

BRIEF DESCRIPTION OF THE DRAWINGS

The drawings are only for purposes of illustrating and are not to be construed as limiting, wherein:

FIG. 1 is a schematic of an implanted pacemaker arrangement in a body;

FIG. 2 is a schematic of a pacemaker lead comprising three conductive strands;

FIG. 3 is a schematic of a sensing system used with a pacemaker;

FIG. 4 illustrates an embodiment of a pacemaker canister;

FIG. 5 illustrates another embodiment of a pacemaker canister;

FIG. 6 illustrates a further embodiment of a pacemaker canister;

FIG. 7 is an illustration of inductive currents in conductor loops;

FIG. 8 is an illustration of canceling inductive currents in conductor loops;

FIG. 9 is a schematic of an embodiment of a pacemaker lead utilizing inductive loops;

FIG. 10 is a schematic of an embodiment of inductive loops in a pacemaker canister;

FIG. 11 is a schematic of an embodiment of inductive loops around a pacemaker canister;

FIG. 12 illustrates of an embodiment of a medical device with an external voltage cancellation unit;

FIG. 13 illustrates of another embodiment of a medical device with an external voltage cancellation unit;

FIG. 14 illustrates a portion of coiled leads used in a medial device;

FIG. 15 illustrates another embodiment of a portion of coiled leads used in a medial device;

FIG. 16 illustrates a further embodiment of a portion of coiled leads used in a medial device;

FIG. 17 illustrates another embodiment of a portion of coiled leads used in a medial device;

FIG. 18 illustrates a circuit diagram representing a guide wire with an unbalancing impedance circuit;

FIG. 19 illustrates another embodiment of a circuit diagram representing a guide wire with an unbalancing impedance circuit;

FIG. 20 illustrates a balun used in conjunction with a guide wire; and

FIG. 21 is a circuit diagram representing a capacitance unbalanced balun unit.

DETAILED DESCRIPTION

For a general understanding, reference is made to the drawings. In the drawings, like reference have been used throughout to designate identical or equivalent elements. It is also noted that the various drawings may not be drawn to scale and that certain regions may have been purposely drawn disproportionately so that the features and concepts could be properly illustrated.

FIG. 1 is a schematic showing a typical pacemaker arrangement 100. The pacemaker comprises a pulse generator canister 102 housing a power supply (not shown) and electronic components (not shown) for sensing and producing electrical pacing pulses. The pulse generator canister 102 has connected to it insulated conductive leads 104 that pass through the body (not shown) and into the heart 106. Conventional bipolar pacemaker leads have two conductive strands, one for pacing and sensing, and the other for ground. The path of the leads 104 is generally not straight. The leads 104 have one or more electrodes 112 in contact with the heart 106. The direct line 108 from the heart 106, where the electrodes 112 are placed, to the generator canister 102 represents a conductive path comprising body tissue (not shown) and fluids (not shown). The completed loop from the pacemaker canister 102, through the leads 104, and back to the pacemaker canister 102 along the path 108 is subject to Lenz's law. That is, a changing magnetic field 110 through the area enclosed by the completed loop (from the pacemaker canister 102, through the leads 104, and back to the pacemaker canister 102 along the path 108) can induce unwanted voltages in the leads 104 and across the heart 106.

In one embodiment of the present invention, and referring to FIG. 1, the pacemaker canister 102 is made out of a non-conductive material. In another embodiment, the canister 102 is coated or covered with various non-conductive insulating materials. This increases the overall resistance of the conductive path loop and thus reduces the voltage across the tissue between electrodes 112 and the canister 102.

Using a three-strand lead design allows for the separation of the pacing signals from the sensing signals and allows for different filtering techniques to be utilized on each separate conductive strand: one strand for the pacing signal for stimulating the heart, one conductive strand for the sensing of the heart's electrical state, pre-pulse, ecg, etc., and one strand for the ground path. Current bi-polar designs use only two conductive strands. This means that the pacing and the sensing signals are carried on the same strand.

For example, in conventional bipolar pacemaker leads, the pacing signal goes “down” (from generator canister to heart) the pacing lead (conductive strand) while the sensing signal travels “up” (from heart to generator canister) the pacing lead. This is the “standard” bipolar pacing setup. If a filter is added to the pacing/sensing strand to block the switch gradient induced signal caused by a magnetic-resonance imaging system, the pacing pulse/signal must travel through the filter, thereby distorting the pacing pulse.

According to the concepts of the present invention, by adding a third conductive strand, a diode, for example, can be put on the pacing strand and one or more filters can be put on the sensing strand. The filters on the sensing lead may be at the distal end of the pacemaker lead or in the generator canister. Thus, by using separate strands, the present invention is able to utilize different kinds of filters (RF filters, high/low pass filters, notch filters, tank circuit, etc.) or other electronics in conjunction with each strand depending on the different signal characteristics and/or signal direction along the conductive strand.

FIG. 2 shows a schematic of a pacemaker arrangement 120 including a generator canister 122 containing a pacing pulse generator (not shown), sensing electronics (not shown) and other electronic components (not shown). Attached to the generator canister 122 is a lead assembly 140 having three conductive strands 124, 126, and 128 through lumen 138. Each of the conductive strands 124, 126, and 128 pass through the distal tip 142 of the lead assembly 140 to exposed electrodes 132, 134, and 136, respectively. The exposed electrodes 132, 134, and 136 are placed in contact with or next to the heart.

Conductive strand 124 and electrode 132 are used to deliver pulses to the heart from a pacing generator within the canister 122. Conductive strand 126 and electrode 134 are used as a ground. Conductive strand 128 and electrode 136 are utilized for sensing the electrical signals generated by the heart. In this way, the sensing functionality of pacemakers can be separated from the delivery of pacing pulses.

To block any induced voltage signals from the magnetic-resonance imaging system's changing magnetic fields (the RF or the gradient fields) from propagating along the conductive pulse delivery strand 124, a diode 130 is inserted into the conductive strand 124 near the distal tip of the lead assembly 142. It is noted that the diode 130 can also be is placed in the generator canister 122.

With respect to FIG. 2, other electronic components (i.e. RF Chokes, notch filters, tank circuits (, etc.) may be placed into the other conductive strands 126 and 128 shown as by components 146 and 144, respectively. It is noted that a tank circuit is a parallel resonant circuit containing only a coil and a capacitor wherein both the coil and capacitor store electrical energy for part of each cycle. It is further noted that these optional electronic components 146 and 144 can be placed in the generator canister 122.

Optional electronic components 146 and 144 are used to block or significantly reduce any unwanted induced signals caused by the magnetic-resonance imaging system from passing along conductive strands 126 and 128 respectively while allowing the desired sensing signals from the heart to pass along conductive strand 126 to electronics in the generator canister 122.

FIG. 3 is a schematic of an embodiment of the present invention. As illustrated in FIG. 3, a patient 162 is located within a magnetic-resonance imaging system 168, wherein the patient 162 has an implanted heart pacemaker pulse generator canister 164. A surface sensor/transceiver 166 is placed on the exterior of the patient's body 162 over or near the location of the implanted pacemaker generator 164. The sensor/transceiver 166 is in communication with the magnetic-resonance imaging system 168 via communication line 170, which may be a magnetic-resonance imaging safe cable such as a fiber optical cable. Additionally, the sensor/transceiver 166 is in communication with the implanted pacemaker pulse generator canister 164. The means of communication between the sensor/transceiver 166 and the implanted pacemaker generator 164 may be acoustic, optical, or other means that do not interfere with the imaging capabilities or image quality of the magnetic-resonance imaging system. The signals may be digital or analog.

Moreover, with respect to this embodiment of the present invention, a transmitter/receiver is placed in the pacemaker canister 164 so that the magnetic-resonance imaging system 168 can be in operative communication with the pacemaker system and vice versa. Thus, the pacing system can transmit signals to the magnetic-resonance imaging system 168 indicating when the pacemaker is about to deliver a pacing pulse to the heart. The transmitted signals may be digital or analog. In response to this transmitted signal, the magnetic-resonance imaging system 168 stops or pauses the magnetic-resonance imaging switched gradient field (imaging scanning sequence) to allow the pacing pulse to occur. After the pacing pulse has been delivered to the heart, the magnetic-resonance imaging system 168 resumes or begins a new imaging scanning sequence.

In another mode of operation, the magnetic-resonance imaging system 168 sends signals to the implanted heart pacemaker pulse generator canister 164 through the sensor/transceiver 166 indicating the application of switched gradient fields. The pacemaker may use this information to switch filters or other electronics in and out of the circuit to reduce or eliminate voltages induced in the pacemaker leads by the gradient fields. For example, the pacemaker may switch in additional resistance or inductance or impedance into the pacing/sensing and/or ground strands based on the signal from the magnetic-resonance imaging system 168 signifying the application of the gradient fields.

In another configuration, there is no surface sensor/transceiver or communication line to the magnetic-resonance imaging system 168. Instead, there is a special sensor in the implanted heart pacemaker pulse generator canister 164 that can sense the application of the gradient fields. In response thereof, the pacemaker switches into the electrical circuit of the pacing/sense and/or ground leads a charging source which is used to charge the implanted heart pacemaker pulse generator canister 164, leads, and/or electrodes to an electrical potential opposite to that which would be induced by the gradient fields. In this way, the induced voltages caused by the gradient fields are cancelled out or reduced to a safe level, by the application of this voltage source.

In a preferred embodiment of the present invention, the charging/voltage source receives its power from inductively coupling to the magnetic-resonance imaging system's RF field. The oscillating RF field supplies power to charge special capacitors in the implanted heart pacemaker pulse generator canister 164. It is noted that other external power sources can be used to power the charging/voltage source in the implanted heart pacemaker pulse generator canister 164.

FIG. 4 is a diagram of an assembly 170 for the pacemaker generator components comprising the canister housing 172, a programmable logic unit (PLU) 184, a power source 174, and a pulse generator 176. Additionally, means for communicating with an external sensor/transceiver is provided by transceiver 180. Other electronic components 178; e.g., signal filters, signal processors, lead connectors, etc. are also located in the canister 172. The pacing leads 182 pass through the canister 172 and connect to the internal electronics 178. During a magnetic-resonance imaging examination, the signals transmitted and received by the transceiver 180 may be used to synchronize the magnetic-resonance imaging system's scanning sequences with the delivery of the pacing signals.

In another embodiment, as depicted in FIG. 5, the pacing generator assembly 190 further includes a second power module 186 which may be an inductive coil and/or capacitor bank, suitable for capturing and storing power from the magnetic-resonance imaging system's transmitted RF signal.

In one embodiment, the power stored in the power module 186 is used to develop an electrical potential in the leads 182 that is opposed to that which is induced by the application of the magnetic-resonance imaging system's gradient fields.

FIG. 21 further illustrates a common-mode feedback circuit 400. The common-mode feedback circuit is similar as those in conventional fully-differential operational amplifiers. The common-mode amplifier 400 amplifies the difference between the output common-mode voltage (v_(outp)+v_(outn))/2 and the desired output common-mode voltage. The output of the common-mode amplifier 400 provides negative feedback to controls the current sources 210 and 220 to keep the output common-mode voltage constant.

Alternatively, the output of the common-mode amplifier 400 may control the current sources 230 and 240. The common-mode feedback can be engaged during all or any of the segments. It is preferred that the common-mode feedback be engaged during the first segment only while keeping current source 220 constant and matched to current source 240.

In another embodiment, the power stored in the power module 186 is used to operate various switches in the electronics module 178 which may switch in or out various power serge protection circuits in-line and/or signal filters to the leads 182.

In a further embodiment, and referring to FIG. 5, the module 186 may be used to electrically charge the pacemaker canister 172, which is made of a conductive material, in synchronization with the application of the magnetic-resonance imaging system's gradient fields so that the electrical potential difference between the pacing electrodes and the pacemaker canister 172 is reduced. That is, the sum of the induced voltage difference due to the application of the gradient fields plus the voltage difference due to the application of the electrical charge stored in the power module 186 results is a net voltage significantly below any threshold level, above which a problem may develop.

FIG. 6 depicts another assembly 200, which includes the basic components of FIG. 5 less the transceiver 180, a gradient field detector 204, and a by-pass switch component 202. By detecting the gradient signal in the pacemaker canister 172 with gradient field detector 204, the pacemaker can switch filters and/or other electronics 178 in or out of the circuit.

In one embodiment, when no gradient fields are detected, the switch 202 is closed to by-pass the electronics component 178, which may be a combination of low-pass, high-pass, notch filters, diodes, and/or other electronics. In this mode (switched closed), the pacing pulse (and sensing signals) by-pass the filters components 178. When gradient field detector 204 detects the gradient signals, the switch 202 is opened and any gradient fields induced signals in the leads 182 are blocked or significantly reduced by the filters components 178. In the open mode, the pacing and sensing signals pass through the filters component 178 as well.

The gradient detector 204 may communicate the sensing of the gradient field to other components in the pacemaker via its connection to the PLU 184 so that the pacing signal can be modified, if necessary, to compensate for any distortion it may suffer by now going through the filters component 178. Additionally, the sensing signal, now also passing through the filter components 178 may be distorted. This may be compensated for by including signal recovery/reconstruction logic into the PLU or into a separate signal-processing component.

Referring back to FIG. 1, by increasing the impedance of the leads 104, the voltage across the tissue gap from the electrodes 112 and the pacemaker canister 102 can be reduced. Inserting a resistor or using a higher resistive wire for the pacemaker leads 104 will reduce the current induced in the current loop, which includes the virtual loop portion across the (heart 112) tissue to the pacemaker generator canister 102.

By using various inductors in-line with the various leads 104, it is possible to make the leads 104 have a high impedance for the low frequency magnetic-resonance imaging gradient fields frequency and a low impedance for the magnetic-resonance imaging system's RF frequency. Alternatively, different impedances (inductors/resistors/capacitors) may be switched in-line or out of the leads' circuitry depending on the timing and application of the gradient and/or RF fields.

In another embodiment, not shown, the pacemakers' electronics can be augmented to include one or more digital signal processors. By converting the sensing signal into a digital signal, the digital signal processor (DSP) can reconstruct the sensing signal after it has passed through filters and has been distorted by the filtering or other elements that may have been added to the lead circuit. The DSP may also be used to reject any signals that do not have a correct cardiac signature, thus rejecting any signals caused by the switched gradient fields, which is a non-cardiac signal.

In another embodiment of the present invention, a pacemaker lead or other medical device, having a long conductive lead and functioning in an magnetic-resonance imaging environment, may be configured, according to the concepts of the present invention, to include additional loops to cancel the induced voltage effects in the leads of the original current loop formed by the leads.

In a further modification of the present invention (not shown), an electrical lead component for a medical device includes an electrical lead that provides an electrical path to a desired tissue region. The electrical lead component further includes a voltage source, such as a battery or capacitor and a sensor to sense voltages induced by the changing magnetic-resonance imaging electromagnetic field. A switching device, connected to the sensor and voltage source, connects the voltage source to the electrical lead in response to the sensed voltage induced by the changing magnetic-resonance imaging electromagnetic field such that the voltage source provides a voltage that is opposite to the voltage which would be induced by the changing magnetic-resonance imaging electromagnetic field in the medical device electrical lead so as to reduce voltages induced by the changing magnetic-resonance imaging electromagnetic field. The electrical lead component further includes a variable resistor connected to the voltage source to regulate an amount of voltage being provided. The changing magnetic-resonance imaging electromagnetic field is a magnetic-resonance imaging switched gradient field or a magnetic-resonance imaging switched gradient field.

Additionally, the present invention may be modified (not shown) so that a medical device that is capable of providing medical treatment to a desired tissue region is associated with a voltage source and a sensor to sense voltages induced by the changing magnetic-resonance imaging electromagnetic field. A switching device, connected to the sensor and voltage source, connects the voltage source to the medical device in response to the sensed voltage induced by the changing magnetic-resonance imaging electromagnetic field such that the voltage source provides a voltage that is opposite to the voltage which would be induced by the changing magnetic-resonance imaging electromagnetic field in the medical device so as to reduce voltages induced by the changing magnetic-resonance imaging electromagnetic field. The medical device is further associated with a variable resistor connected to the voltage source to regulate an amount of voltage being provided. The changing magnetic-resonance imaging electromagnetic field is a magnetic-resonance imaging switched gradient field or a magnetic-resonance imaging switched gradient field.

In FIG. 7, two conductive loops 260 and 270 having the same amount of area and in the same plane, positioned in a changing magnetic field 262 and 272, develop currents 264 and 274. In FIG. 7, both induced currents I₁ and I₂ travel in the same direction (clockwise direction shown) at all times as the magnetic field 262 and 272 oscillate.

FIG. 8 shows that by connecting the two conductive loops 260 and 270 of FIG. 7 to form a single conductor 280, the currents induced in each lobe can be made to cancel each other out. The two loops are connected so that a single conductor is formed which crosses over itself at 284. In this case, as shown in FIG. 8, the two currents 286 and 288 cancel each other out resulting in net current of zero magnitude around the conductor 280. This type of configuration of conductors in a changing magnetic field may be used to cancel induced currents in the conductors.

FIG. 9 depicts an implanted pacemaker system 220 comprising a pacing generator canister 102, conductive leads 104, and electrodes 112 positioned in the heart 106. Additional loops 222 are added to the overall configuration of the lead 104 in the body with one or more crossings 224. In accordance with the concepts of the present invention, the plane of the loop 222 is in the same plane as defined by the rest of the lead geometry.

The same oscillating magnetic field 110 passes through loop 222 and the loop defined by generator canister 102, conductive leads 104, electrodes 112, and conductive path 108 through the body from the heart 106 to the generator canister 102. It is noted that the total area enclosed by the loops can be adjusted by adding or removing loops 222 or by changing the area enclosed by the loops (singly or collectively).

In one embodiment, the total area of the loop 222 is the same as the loop area 226. In another embodiment, the total area of the loop 222 is different from loop area 226. In another embodiment, the plane of loop 222 is different from the plane of loop area 226. In yet another embodiment, loop 222 and/or loop area 226 do not define a single plane but are curved in three different spatial directions. In yet another embodiment, loop 222 consists of at least three loops in three orthogonal planes.

In a further embodiment, as illustrated in FIG. 11 and will be discussed in more detail below, the new additional loops 222 can be positioned in such a way as to encircle the pacemaker's generator canister 102. In another embodiment, as illustrated in FIG. 10 and will be discussed in more detail below, the additional loops 222 may be positioned inside the pacemaker's generator canister 102.

Referring back to FIG. 9, a fastener (not shown) can be used at the loop cross over point 224 to allow for adjustment of the loop's enclosed area and/or orientation and, once adjusted, to lock in the loop's adjustments. This same fastener can also be used to adjust a plurality of loops.

In another aspect of the present invention, a selection mechanism can be included in the pacemaker system. This selection mechanism is used to adjust the number of loops to include in the circuit.

For example, if the loops are located within the pacemaker canister, the selection mechanism can be used to manually select how many loops to include in the lead circuit depending on where the pacemaker can is placed in the body and the length of the lead. Alternatively, the selection mechanism may be used to automatically select how many loops to include in the lead circuit depending on where the pacemaker can is placed in the body and the length of the lead. In this alternative embodiment, the present invention monitors the voltages on the pacemaker's lead(s) and selects a different number of loops to connect to the lead(s) to cancel any induced voltages. Lastly, the selection mechanism may be externally programmed and transmitted to the pacemaker's PLU that then monitors and adjusts the number of loops in the lead circuit.

FIG. 10 is a schematic of a pacemaker system 300 that includes a pacemaker canister 302 and the pacemaker's leads 304. The pacemaker's canister 302 contains a programmable logic unit (PLU) 306, and other electronics 310, e.g. a pulse generator, power supply, etc. The system 300 further includes conductive loops 308 positioned within the pacemaker canister 302.

The conductive loops are connected to a loop selection component 312 that provides means for selectively adjusting the number of loops to be included in the leads' circuit 304. The leads 304 are also connected to the loop selection component 312 so that the leads 304 can be electrically connected to the loops 308.

The loop selection component 312 connects the loops 308 to the leads' circuit 304 in such a way that any induced voltages in the loops 308 caused by changing magnetic fields in the environment, e.g. an magnetic-resonance imaging environment, will cancel out or significantly reduce in magnitude any induced voltage along the leads 304 that have also been caused by the environment's changing magnetic fields.

In one embodiment, the loop selection component 312 is adjusted manually by screws, connection pins, and/or other means.

In another embodiment, the loop selection component 312 is controlled by the PLU 306. The PLU 306 may include means for receiving loop selection instructions from an external transmitter or may include sensors that measure environmental variables, e.g. changing magnetic fields in an magnetic-resonance imaging environment. From this information, the PLU 306 dynamically adjusts the loop selection component's 312 adjustable parameters so as to change which loops are included in the leads' circuitry 304.

It is noted that the loops 308 need not be all in the same plane.

FIG. 11 is a schematic of another pacemaker system 320. Pacemaker system 320 includes conductive loops 322 positioned externally to a pacemaker canister 302. In this embodiment, the loops 332 are connected to an input port connection 330 and to an output port connection 334 which are electrically connected to the loop selection component 324 located inside the pacemaker canister 302. Additionally, the pacemaker leads 304 are connected to an electrical connector 332 that is electrically connected to the loop selection component 324. It is noted that the conductive loops 322 need not be all in the same plane.

FIG. 12 depicts a medical procedure in which a catheter 406 or other medical device, e.g. a guidewire, which is comprised of conductive leads or other conductive components, may be partially inserted into a body 402 and partially external to the body. In an magnetic-resonance imaging environment, such conductive medical devices 406 can develop problems like heating, induced voltages, etc. caused by the changing magnetic fields of the magnetic-resonance imaging system. To compensate for induced currents and/or induced voltages in such devices 406, a voltage compensation unit (VCU) 410 is electrically connected to the medical device 406 via conductive leads 412 and electrical connectors 414, externally to the patient's body 402.

The medical device 406 is constructed with additional electrical connectors 414 to allow for easy attachment of the VCU device 410. The VCU device 410 is connected to a power supply or may have a built in power supply, e.g. batteries. The VCU device 410 has sensors built into it, which monitor the voltages of the conductive components in the medical device 406, and delivers opposing voltages to the medical device 406 to cancel out or significantly reduce any induced voltages caused by the changing magnetic fields in an magnetic-resonance imaging (or other) environment.

Additionally or alternatively, the VCU device 410 has sensors to detect the changing magnetic fields of the magnetic-resonance imaging system and can synchronize the application of the canceling voltage with the magnetic-resonance imaging System's changing fields.

In another embodiment depicted in FIG. 13, the VCU device 420 is connected to the magnetic-resonance imaging system 422 via communication means 424 so that the start and end of the application of the magnetic-resonance imaging system's 422 fields may be communicated to the VCU device 420. Other information that may be required (field strengths to be applied, magnetic-resonance imaging scan sequence, etc.) may also be communicated to the VCU device 420. The communication means 424 may be electrical wires/coaxial/shielded/other, optical fiber, or an RF transmitter/receiver, or some sonic means of communication.

The conductive lead of a heart pacemaker is a filer winding. The filer winding may consist of two or more conductive stands coiled together in a spring-like configuration. The current (pulses, signals) then flows over the surface and through the contact points between one loop and the adjacent loop of the winding, rather than following the windings of the individual conductive strands. This occurs because there is no significant insulating material or surface coating between the contact points of the windings.

In accordance with the present invention, to reduce the alternating, induced current flowing, caused by a magnetic resonance system's changing magnetic fields, through the, for example, pacemaker's winding leads, the inductance value of the pacemaker's lead may be changed to increase the overall impedance of the pacemaker's lead.

Thus in one embodiment, a suitable RF choke is inserted inline with the pacemaker's lead, preferable near the distal tip. For example, referring back to FIG. 2, and to the embodiment therein, electronic component 146 and/or 144 may comprise an RF choke. In a preferred embodiment, the RF choke has an inductance value of about 10 microHenries. In another embodiment, the inductance value is about 2 microHenries.

The specific value of inductance to introduce into the, for example, pacemaker's lead depends in part on the frequency of the induced signal from the magnetic-resonance imaging system's imaging sequence that is to be blocked or significantly reduced.

FIG. 14 shows a portion of a coiled multi-filer lead 450. As illustrated in FIG. 14, lead 450 includes a plurality of coil loops 452; each coil loop 452 consists of three conductive strands 454, 456, and 458. A current 460 through the lead 450 can cross contact points 464, 466, and 462 between the strands as well as the coil contact points 468 and 470. Thus, the current 460 does not follow the coiling of the lead's conductive strands 454, 456, and 458.

FIG. 15 shows a portion of a coiled lead assembly 480 including a region 482 that has an insulating coating 484 applied to its surface. The coiled lead assembly 480 is depicted in an elongated position in which adjacent coil windings are not in contact with one another. It is to be understood that the normal, relaxed position of the lead assembly 480 has all adjacent coiled windings in contact.

With the addition of an insulated coating 484 over the winding region 482, the current 490, 492, and 494 is now forced to substantially follow the curvature of the coiled winding 482, thus forming an inductive coil inline with the conductive lead regions 486 and 488 which do not have an insulated coating. The inductive value of the created inductor can be adjusted by adjusting the length of the region to which the insulative coating 484 is applied.

It is noted that the coating 484 may be a partially resistive material. In such an example, the inductance is then adjusted by adjusting the resistive properties of the material 484.

FIG. 16 is a schematic of a coiled lead assembly 500 comprised of uninsulated regions 502, 504, and 506, and coated insulated regions 508 and 510 with coatings 512, and 514, respectively. Through the application of the coating, the current is forced to substantially follow the curvature of the coiled windings, thus forming an inductive coil inline with the conductive lead regions that do not have a coating applied thereto. The inductive value of the created inductor can be adjusted by adjusting the length of the region to which the insulative coatings 512 and 514 are applied. In one embodiment, coatings 512 and 514 are the same coatings. In another embodiment, the coatings 512 and 514 are different materials.

It is noted that coatings 512 and 514 may be the same coating material but having differing properties, e.g., the thickness of the coatings, or the length of the coated region 508 and 510. It is further noted that the two-coated regions 508 and 510 may have different inductive values. It is also noted that more than two different regions along the length of the lead assembly can be coated.

FIG. 17 is a schematic of a portion of a coiled lead assembly 520 including at least one region 524 with a coating applied thereto. Through the application of the coating, the current is forced to substantially follow the curvature of the coiled windings, thus forming an inductive coil inline with the conductive lead regions 522 and 526 that do not have a coating applied thereto. The inductive value of the created inductor can be adjusted by adjusting the length of the region to which the insulative coating 524 is applied. Additionally, through the coated region 524 is positioned a rod 528 which also changes the inductive value of the coated region 524. It is noted that the rod 528 may be of ferrite material. It is further noted that multiple rods can be inserted into multiple coated regions along the length of the coiled lead.

It is noted that multiple coatings can be applied to the same coated region of the coiled lead wherein the multiple coating layers may be comprised of different materials. It is further noted that one or more layers of the multiple layers of coatings may comprise ferrite material.

In another embodiment of the present invention, the heating and/or induced voltages on catheters or guide wires is controlled or substantially eliminated by introducing or creating detuned characteristic impedance at a proximal ends (ends that are not within the body) of the catheters or guide wires. This introduction or creation of detuned characteristic impedance will be discussed in more detail with respect to FIGS. 18-21.

As noted above, during magnetic-resonance imaging procedures, catheters, and guide wires (wire lines), with or without grounded shielding, are used to measure physiological signals. In such instances, two-wire catheters or guide wires having a grounded shield have one conductor that carries the actual measured signal and the other wire is grounded. In terms of characteristic impedance, the two-wire catheters or guide wires having a grounded shield are unbalanced. In contrast, a single wire catheter or guide wire has characteristic impedance that is balanced.

According to the concepts of the present invention, the characteristic impedance of the catheters and guide wires, used during magnetic-resonance imaging procedures, should be unbalanced at the proximal end, under all conditions, to reduce or eliminate heating and induced voltages. To realize this reduction or elimination of heating and induced voltages at the proximal end of the catheters and guide wires, used during magnetic-resonance imaging procedures, by creating an unbalanced characteristic impedance, the present invention proposes providing a Balun along the catheter and/or guide wire or at the proximal end of the catheter and/or guide wire.

Using a Balun to maintain unbalanced characteristic impedance, the reactance at the distal end of the catheter and/or guide wire approaches infinity. Thus, even when there is some potential on the wire, the unbalanced characteristic impedance has approximately four times the ground loop looses of a balanced line, thereby substantially avoiding any incident of thermal injury. An example of such an arrangement is illustrated in FIG. 18.

As illustrated in FIG. 18, a guide wire or catheter 650 has characteristic impedance due to its intrinsic resistance from intrinsic resistor capacitors R_(P) and its intrinsic inductance from intrinsic inductor L. To create the unbalanced characteristic impedance at the proximal end of the guide wire or catheter 650, a Balun 600 is placed along the guide wire or catheter 650. In other words, the Balun 600 is in vitro.

The Balun 600 includes a variable capacitor C₁ connected in parallel with the guide wire or catheter 650 and two variable capacitors C₂ and C₃ connected in series with the guide wire or catheter 650. It is noted that one end of the variable capacitor C₂ is connected to the shield 625 and ground or a known voltage. The capacitance of the variable capacitors C₁, C₂, and C₃ are adjusted to create the unbalanced characteristic impedance.

More specifically, the variable capacitors C₁, C₂, and C₃ may be used for both matching and providing a certain amount of balancing for the guide wire or catheter characteristic impedance. In this example, the variable capacitors C₁, C₂, and C₃ lift the voltage on the guide wire or catheter 650 from ground. The larger the reactance of the variable capacitors C₁, C₂, and C₃, the more symmetric and balanced the circuit of the guide wire or catheter 650 becomes. Conversely, according to the concepts of the present invention, if the reactive capacitance of the Balun 600 is detuned (made less resonant), the circuit of the guide wire or catheter 650 becomes asymmetric and unbalanced, breaking down, to reduce the chances of thermal injury at the distal end of the guide wire or catheter 650 due to heating from induced voltages.

FIG. 19 illustrates another embodiment of the present invention wherein a guide wire or catheter 6500 has characteristic impedance due to its intrinsic capacitance from intrinsic capacitors C_(t) and C_(s) and its intrinsic inductance from intrinsic inductor L. To create the unbalanced characteristic impedance at the proximal end of the guide wire or catheter 6500, a Balun 6000 is connected across the proximal end of the guide wire or catheter 6500. In other words, the Balun 6000 is outside the body at the proximal end of the guide wire or catheter 650. By having the Balun 6000 outside the body, the varying of the reactance of the guide wire or catheter 6500 can be readily and manually controlled.

The Balun 6000 includes a variable capacitor C₁ connected in parallel with the guide wire or catheter 6500 and a variable capacitor C₂ connected in series with the guide wire or catheter 6500. It is noted that one end of the variable capacitor C₁ is connected to the shield 6250 and ground or a known voltage. The capacitance of the variable capacitors C₁ and C₂ are adjusted to create the unbalanced characteristic impedance.

More specifically, the variable capacitors C₁, and C₂ may be used for both matching and providing a certain amount of balancing for the guide wire or catheter 6500 characteristic impedance. In this example, the variable capacitors C₁, C₂, and C₃ lift the voltage on the guide wire or catheter 6500 from ground. The larger the reactance of the variable capacitors C₁ and C₂, the more symmetric and balanced the circuit of the guide wire or catheter 6500 becomes. Conversely, according to the concepts of the present invention, if the reactive capacitance of the Balun 6000 is detuned (made less resonant), the circuit of the guide wire or catheter 6500 becomes asymmetric and unbalanced, breaking down, to reduce the chances of thermal injury at the distal end of the guide wire or catheter 6500 due to heating from induced voltages.

FIG. 20 illustrates a further embodiment of the present invention wherein a guide wire or catheter 800 is connected to a Balun 700. The Balun 700 includes a variable capacitor 710, a copper foil 720, and a non-conductive tuning bolt 730. The Balun 700 is further connected to the output of the probe 800

The Balun 700 adjusts its characteristic impedance by increasing or decreasing the number wire coils are found within the copper foil 720. The combination of the coils and the copper foil 720 forms a variable capacitor, having it impedance determined by the change in the surface area of the coils positioned opposite of the copper foil 720. As more coils are introduced into the volume created by the copper foil 720, the capacitance of this combination increases. Moreover, as fewer coils are introduced into the volume created by the copper foil 720, the capacitance of this combination decreases. Thus, the capacitance of the Balun 700 is adjusted to create the unbalanced characteristic impedance.

FIG. 21 illustrates another embodiment of the present invention wherein a guide wire or catheter 900 is electronically isolated by a voltage control unit to always appear as an unbalanced line to any possible magnetic field that may be applied from a magnetic resonance imager unit (not shown). As current begins to flow due to the changing magnetic fields from the magnetic resonance imaging, a tapped voltage from a voltage-controlled oscillator in the magnetic resonance imaging unit is applied across terminals X1 and X2 of the voltage control unit.

According to the concepts of the present invention, to automatically maintain an unbalanced characteristic impedance at the distal end of the guide wire or catheter 900, a capacitance unbalanced balun unit 7000, located within the voltage control unit, is connected through a variable inductor 910 to the proximal end of the guide wire or catheter 900. In other words, the voltage control unit containing the capacitance unbalanced balun unit 7000 is outside the body at the proximal end of the guide wire or catheter 900. By having the capacitance unbalanced balun unit 7000 and variable inductor 910 outside the body, the varying of the reactance (X0) of the guide wire or catheter 900 can be readily adjusted and automatically controlled by the voltage control unit circuit's reactance to the tapped voltage from the voltage-controlled oscillator in the magnetic resonance imaging unit as it is applied across X1 and X2 for any instance of time from time zero (T0) or instantiation of the magnetic resonance imaging radio-frequency pulses.

The capacitance unbalanced balun unit 7000 includes two non-magnetic trimmer capacitors C1 and C2 connected in parallel with LC circuits (L1,C3) and (L2,C4), respectively, setting up a simplified dual T network that is effectively in series with the guide wire or catheter 900. It is noted that one end of the simplified dual T network is connected to neutral H1 and the other end is connected to a continuously variable voltage H2, based on inputs to the circuit from the voltage-controlled oscillator in the magnetic resonance imaging unit at X1 and X2. The reactance (X0) of the LC circuits in the T network is automatically adjusted to create the desired unbalanced characteristic impedance.

More specifically, the T network L1, C1, C3 and L2, C2, C4 respectively, may be used for both matching and unmatching characteristic impedance of the guide wire or catheter 900 and to provide a certain amount of balancing or unbalancing for the guide wire or catheter 900 by varying the circuit's capacitive or inductive reactance (X0).

In this example, as the voltage from the voltage-controlled oscillator in the magnetic resonance imaging unit is provided to the voltage control unit (X1 X2), the two non-magnetic trimmer capacitors C1 and C2, connected in parallel with LC circuits, (L1,C3) and (L2,C4), lift the voltage on the guide wire or catheter 900 from ground to an unbalanced state with respect to the radio-frequency pulse applied by the magnetic resonance imaging unit. The reactance of the T network and its LC circuits, (L1,C3) and (L2,C4), respectively, cause the guide wire or catheter 900 to become asymmetric and unbalanced, automatically breaking down the reactance to ensure that resonance for the guide wire or catheter 900 is never present, thus reducing the chances of thermal injury at the distal end of the guide wire or catheter 900 due to heating from induced voltages.

While various examples and embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that the spirit and scope of the present invention are not limited to the specific description and drawings herein, but extend to various modifications and changes. 

1. An electrical lead for a medical device, the electrical lead capable of providing an electrical path to a desired tissue region, comprising: a coil having an adjustable area to interact with a changing MRI electromagnetic field to generate a cancelling voltage due to the changing MRI electromagnetic field opposite to that voltage induced by the changing MRI electromagnetic field in the electrical lead wherein the cancelling voltage reduces the voltage induced by the changing MRI electromagnetic field in the electrical lead.
 2. The electrical lead as claimed in claim 1, wherein said coil is curved in three different spatial directions.
 3. The electrical lead as claimed in claim 1, wherein said coil is a nonplanar loop.
 4. The electrical lead as claimed in claim 1, wherein said coil is a planar loop.
 5. An electrical lead for a medical device, the electrical lead capable of providing an electrical path to a desired tissue region, comprising: a coil having an adjustable area to interact with a changing MRI electromagnetic field to generate a cancelling voltage due to the changing MRI electromagnetic field opposite to that voltage induced by the changing MRI electromagnetic field in the electrical lead wherein the cancelling voltage reduces the voltage induced by the changing MRI electromagnetic field in the electrical lead; and orientation means for changing a spatial orientation of said coil to modify the strength of the cancelling voltage induced by the changing MRI electromagnetic field.
 6. An electrical lead for a medical device, the electrical lead capable of providing an electrical path to a desired tissue region, comprising: a plurality of selectable coils, at least one selected coil defining an adjustable area to interact with a changing MRI electromagnetic field to generate a cancelling voltage due to the changing MRI electromagnetic field opposite to a voltage induced by the changing MRI electromagnetic field in the electrical lead such that a combination of the cancelling voltage and the voltage due to a changing MRI electromagnetic field provides a combined voltage having a reduced magnitude to the voltage induced by the changing MRI electromagnetic field.
 7. The electrical lead as claimed in claim 6, wherein said coils are orientated in different directions.
 8. The electrical lead as claimed in claim 6, wherein said coils are nonplanar.
 9. The electrical lead as claimed in claim 6, wherein two coils are orthogonally orientated.
 10. The electrical lead as claimed in claim 6, wherein three coils are orthogonally orientated.
 11. An electrical lead for a medical device, the electrical lead capable of providing an electrical path to a desired tissue region, comprising: planar coils, at least one coil having an adjustable area to interact with a changing MRI electromagnetic field to generate a cancelling voltage due to the changing MRI electromagnetic field such that a combination of the cancelling voltage and a voltage due to a changing MRI electromagnetic field provides a combined voltage having a reduced magnitude to the voltage induced by the changing MRI electromagnetic field.
 12. The electrical lead as claimed in claim 11, wherein said planar coils are orientated in different directions.
 13. The electrical lead as claimed in claim 11, wherein two planar coils are orthogonally orientated.
 14. The electrical lead as claimed in claim 11, wherein three planar coils are orthogonally orientated.
 15. An electrical lead for a medical device, the electrical lead capable of providing an electrical path to a desired tissue region, comprising: a plurality of coils, at least one coil having an adjustable area to interact with a changing MRI electromagnetic field to generate a cancelling voltage due to the changing MRI electromagnetic field; a sensor to measure a strength of a voltage induced in the electrical lead by the changing MRI electromagnetic field; and a switching device, operatively connected to said sensor and plurality of coils, to operatively connect a number of said plurality of coils in response to the measured strength of the voltage induced by the changing MRI electromagnetic field providing a combined voltage having a reduced magnitude to the voltage induced by the changing MRI electromagnetic field in the electrical lead.
 16. The electrical lead as claimed in claim 15, wherein said coils are orientated in different directions.
 17. The electrical lead as claimed in claim 15, wherein said coils are nonplanar.
 18. The electrical lead as claimed in claim 15, wherein two coils are orthogonally orientated.
 19. The electrical lead as claimed in claim 15, wherein three coils are orthogonally orientated.
 20. An electrical lead for a medical device, the electrical lead capable of providing an electrical path to a desired tissue region, comprising: planar coils, at least one coil having an adjustable area to interact with a changing MRI electromagnetic field to generate a cancelling voltage due to the changing MRI electromagnetic field; a sensor to measure a strength of a voltage induced in the electrical lead by the changing MRI electromagnetic field; and a switching device, operatively connected to said sensor and said coils, to operatively connect a number of said coils in response to the measured strength of the voltage induced by the changing MRI electromagnetic field providing a combined voltage having a reduced magnitude to the voltage induced by the changing MRI electromagnetic field in the electrical lead.
 21. The electrical lead as claimed in claim 20, wherein said planar coils are orientated in different directions.
 22. The electrical lead as claimed in claim 20, wherein two planar coils are orthogonally orientated.
 23. The electrical lead as claimed in claim 20, wherein three planar coils are orthogonally orientated.
 24. An electrical lead for a medical device, the electrical lead capable of providing an electrical path to a desired tissue region, comprising: a plurality of coils, at least one coil having an adjustable area to interact with a changing MRI electromagnetic field to generate a cancelling voltage due to the changing MRI electromagnetic field; a transceiver to receive a signal indicating a number of coils to be connected; and a switching device, operatively connected to said transceiver and plurality of coils, to operatively connect a number of said plurality of coils in response to the received signal indicating the number of coils to be connected such that a combination of the cancelling voltage and a voltage induced in the electrical lead due to the changing MRI electromagnetic field provides a combined voltage having a reduced magnitude to the voltage induced by the changing MRI electromagnetic field in the electrical lead.
 25. The electrical lead as claimed in claim 24, wherein said coils are orientated in different directions.
 26. The electrical lead as claimed in claim 24, wherein said coils are nonplanar.
 27. The electrical lead as claimed in claim 24, wherein two coils are orthogonally orientated.
 28. The electrical lead as claimed in claim 24, wherein three coils are orthogonally orientated.
 29. An electrical lead for a medical device, the electrical lead capable of providing an electrical path to a desired tissue region, comprising: planar coils, at least one coil having an adjustable area to interact with a changing MRI electromagnetic field to generate a cancelling voltage due to the changing MRI electromagnetic field; a transceiver to receive a signal indicating a number of coils to be connected; and a switching device, operatively connected to said transceiver and said coils, to operatively connect a number of said coils in response to the received signal indicating the number of coils to be connected such that a combination of the cancelling voltage and a voltage induced in the electrical lead due to the changing MRI electromagnetic field provides a combined voltage having a reduced magnitude to the voltage induced by the changing MRI electromagnetic field in said electrical lead.
 30. The electrical lead as claimed in claim 29, wherein said planar coils are orientated in different directions.
 31. The electrical lead as claimed in claim 29, wherein two planar coils are orthogonally orientated.
 32. The electrical lead as claimed in claim 29, wherein three planar coils are orthogonally orientated. 